Korean J Urol.
2001 Jun;42(6):627-630.
Risk Factors for Cryptorchidism
- Affiliations
-
- 1Department of Urology, Soonchunhyang University College of Medicine,
Chonan and Seoul, Korea.
Abstract
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PURPOSE: The testes normally descend into the scrotum during last trimester in ges
tation. Although the cause of maldesent is not clear, abnormality of the gubernaculum
testis, intrinsic testicular defect and deficient gonadotropic stimulation are considered
as possible etiology. We evaluated risk factors for cryptorchidism, including low birth
weight, low gestational age, twin birth and other pertinent factors.
MATERIALS AND METHODS
2,605 boys who were born in Soonchunhyang Chonan hospital
between March 1997 and March 2000 were evaluated for cryptorchidism. The subjects
consisted with 99 boys with cryptorchidism and 2,506 normal boys for control group.
We investigated birth weight, duration of gestation, twin birth, parity, other congenital
anomalies, paternal age, maternal age, previous abortion history, mode of delivery
(normal vaginal delivery or Cesarean section), Apgar score (1 minute), breech presen
tation and preeclampsia during pregnancy to each subject in both groups. Statistical
analysis was performed using logistic regression analysis to estimate the odds ratio.
RESULTS
The birth weight less than 1,500gm and other congenital anomalies were
significant risk factors for crytorchidism. The other factors showed no effect on the risk
of cryptorchidism.
CONCLUSIONS
This study shows that low birth weight and other congenital anomalies
are the significant risk factors for development of cryptorchidism.